Stress for families today

Rapid changes in family life have created enormous challenges and pressures on developing families - divorce, two working parents, disappearance of the extended family, unclear cultural values for our children's future, poorly defined support systems for stressed families, inadequate substitute care when both parents work-all contribute to an anxious atmosphere for young families. Parents who must return to work „too early”︁ (and we have no established standards yet for what this means to either child or adult development) seem to grieve about the loss of the relationship with the developing child. They may even set up defenses against making a strong and painful attachment. They may not become involved in the child's development in a way that will foster their own development as nurturing adults. The grieving and the necessary defenses against it are predictable and must be mitigated in order to foster nurturing adults within the family. Children must be provided with caring, intensely involved adults in order to assure their optimal future development. We must provide them and their parents with adequate substitute care. This paper suggests adjustments at the industrial level that must be made to foster parental involvement and to assure positive outcomes for future generations.     

A day unit for families

The Family Day Unit at the Maryborough Hospital, London, carries out an intensive treatment programme for highly dysfunctional families. Up to ten families attend the Unit five days per week from nine a.m. to three p.m. They stay for a period of at least three months and not longer than fifteen months. Normally some twenty to thirty patients, adults and children, attend every day. This paper gives the reasons for setting up this Family Day Unit. The aims and structure of the Unit are described, the treatment method outlined and some preliminary results are discussed.     

Therapeutic strategies for Mexican-American families

This paper emphasizes the need for therapists to develop culturally attuned approaches to families. Family therapy strategies effective with families of Mexican descent are related to specific stages of the treatment process. Categories of problems presented by Mexican-American families are defined and corresponding therapist roles suggested. A specific class of interventions, labeledcultural strategies, makes use of culture in the service of therapy. Although the illustrations presented are of Mexican-American families, the concepts can be adapted to other ethnic families.     

Home‐based intervention after discharge for Latino families of low‐birth‐weight infants

A home‐based intervention designed for impoverished Latino families of low‐birth‐weight infants was implemented, and the efficacy assessed for infants and mothers. Specially trained public health nurses visited the participants' homes for 4 months for the “short” and 12 months for the “extended” intervention groups. Mothers received support and training in infant care. A third group did not receive the intervention. Assessments were at 4‐ to 6‐month intervals from 1 to 24 months. Although the extended visitation group showed no benefits from the intervention, the short visitation group had higher scores on maternal confidence at one month, and on the Bayley Mental Scores at four months than the group receiving no intervention and extended intervention. The nonvisitation group scored significantly higher than both intervention groups on the HOME scores and on the Mother–Infant Interaction and Feeding scores at three different assessment periods. These data suggest that for poor Latino families home intervention is not beneficial across the board. Instead, efforts should be made to identify families that could benefit from intervention and to tailor the program to the specific needs of Latino families. © 2000 Michigan Association for Infant Mental Health.     

Strategies for counseling protestant evangelical families

A significant segment of the population—evangelical Christians—has historically been underrepresented in psychotherapy and in the treatment literature. Consequently, few guidelines for therapeutic decision making and intervention have been articulated. Because the clergy are showing an increasing willingness to refer these people to human service professionals, it is important that clinicians be informed about this group of potential clients. Therapeutic strategies whick take into account the unique characteristics of this population are discussed in light of four stages in the development of the helping relationship.Portions of this paper were presented at the meeting of the American Association of Marriage and Family Counselors, Philadelphia, October 1976.     

‘Seeking permission’: an interviewing stance for finding connection with hard to reach families

The systemic therapy literature is dominated by clinic‐based accounts of therapy. The work of an outreach, home‐based therapy team is described, in a tradition of systemic therapies which directly seek to challenge service access constraints and social injustice. In paying careful attention to the micro‐interactions of initial contact, seeking permission is suggested as an interviewing stance for connecting with families who are not engaged with services, where there have been histories of partner violence.     

Fathers' caregiving in low-income African–American and Hispanic–American families

The present study assessed fathers' and mothers' relative involvement in infant caregiving tasks in 34 low-income African–American and Hispanic–American families. Analysis showed that involvement in childcare differed as a function of the gender of the parent. Fathers spent one half the time mothers did in caregiving. However, fathers' and mothers' participation in caregiving did not vary as a function of ethnic group. African–American parents reported to have received more family support than Hispanic–American parents. Although relationships were noted between age, income, education, length of marriage, social support, and involvement in infant caregiving, these sociodemographic variables did not predict parents' participation in childcare. The results are discussed in relation to the preconceived notion that low-income, minority fathers are ‘uninvolved’. ©1997 John Wiley & Sons, Ltd.     

Co‐authoring better futures for children and families – Anticipation Dialogue in children’s social care networks

Anticipation Dialogue (AD), in comparison to Open Dialogue, the lesser known form of dialogical network practices introduced by Seikkula and Arnkil, seems not to be used in children’s social care in the UK, and there is little literature about it. In this article I will introduce and explain Anticipation Dialogue and make links to other systemic ideas including Signs of Safety. I will review the literature and give a case example from my children’s social care practice.     

Book reading styles in dual‐parent and single‐mother families

Background. Whereas many studies have investigated quantitative aspects of book reading (frequency), few have examined qualitative aspects, especially in very young children and through direct observations of shared reading. Aim. The purpose of this study was to determine possible differences in book‐reading styles between mothers and fathers and between mothers from single‐ and dual‐parent families. It also related types of parental verbalizations during book reading to children's reported language measures. Sample. Dual‐parent (29) and single‐parent (24) families were observed in shared book reading with their toddlers (15‐month‐olds) or young preschoolers (27‐month‐olds). Method. Parent–child dyads were videotaped while book reading. The initiator of each book‐reading episode was coded. Parents' verbalizations were exhaustively coded into 10 categories. Mothers completed the MacArthur Communicative Development Inventory, and the children were given the Bayley scales. Results. All parents differentiated their verbalizations according to the age rather than the gender of the child, but single mothers imitated female children more than males. Few differences in verbalizations were found between mothers and fathers or between mothers from single‐ and dual‐parent families. Fathers allowed younger children to initiate book‐reading episodes more than mothers. For both age groups of children, combined across families, verbalizations that related the book to the child's experience were correlated with reported language measures. Questions and imitations were related to language measures for the older age group. Conclusions. The important types of parental verbalizations during shared book reading for children's language acquisition are relating, questions and imitations.     

'But they aren't motivated …' issues concerned with encouraging motivation for change in families

This article is an attempt to provide some frameworks for understanding aspects of the context of families which support or constrain motivation for change. A theme of the entire paper is that ambivalence is normal and that it is therefore useful to regard families both as motivated to change and motivated to maintain stability. Part I focuses particularly upon family–referrer– therapist relationships and Part II upon family–therapist relationships. Part I begins with an exploration of the idea of motivation as a process and outlines the usefulness of the concept of ambivalence. Its main focus however is upon the importance of considering referrers when attempting to assess the motivation of family members for change.
Part II considers the relationship between the family and the therapist and takes account of some important aspects of the contexts of both. It ends with a summary of some experiential exercises which enable one's personal understanding of motivation issues to develop.     

Working with older adults and their families – a review

This paper discusses family work with older adults by exploring some of the related literature published since Herr and Weakland's work in 1979, and compares psychoeducational and systems-based approaches to work with later life families. Issues of bias and omissions in the existing literature, and the definition of family therapy with this client group are raised. Areas for future research are indicated.     

Providing support for infants in severely disorganized families

This paper discusses critical issues in providing services to infants in severely disorganized families. The clinical setting of the program is described as well as assessment and treatment issues specific to this hard-to-reach multi-problem group of parents. In addition to addressing clinical issues in all phases of treatment, the importance of developing community based treatment teams is noted as well as the interface with court related agencies.     

Shared reading interaction in families with and without genetic risk for dyslexia: implications for toddlers’ language development

Shared reading represents a unique context for language learning. Little is known, however, about the quality of shared reading and its developmental implications in families with reading disabilities. In the present study, these questions were addressed in the context of a longitudinal follow‐up. Maternal interactional behaviors and children's participation in a book reading situation were analyzed at 14 months of age in a subsample involving 39 mothers who were diagnosed as reading disabled and had a familial background of reading difficulties (the RD group) and 89 normally reading mothers (the NR group) and their children. Information on the children's concurrent and subsequent vocabulary comprehension and production was obtained at 14 and 18 months. The results indicated that the children who displayed a high interest and engagement in shared reading at 14 months had more advanced language skills 4 months later. Also found was support for a link between maternal strategies and children's subsequent vocabulary comprehension and production. In accordance with the literature, maternal activation was more strongly related to the children's language development than the mere describing of the elements in the book. No differences emerged between the NR and RD groups in the frequencies of maternal interactional behaviors, children's participation in shared reading, or their language skills at this early age; maternal orienting of the children's attention was, however, found to be positively related to later language development in the NR group, while in the RD group the association was negative. Copyright © 1999 John Wiley & Sons, Ltd.     

A pilot study of a family‐focused intervention for children and families affected by maternal depression

A non‐experimental pilot study examined child, mother and family outcomes of a 10‐session multi‐family group intervention designed to reduce risk and promote resilience for mothers with depression and their families. Positive changes following the Keeping Families Strong intervention included mother‐reported decreases in child behaviour and emotional problems, improvements in the quality of family interactions and routines and improvements in their own well‐being and support from others. Children (9–16 years) reported decreased internalizing symptoms, improved coping, increased maternal warmth and acceptance and decreased stressful family events. Attendance and mother‐reported satisfaction were high, indicating the perceived value of the intervention.     

Pyramidal training for families of children with problem behavior

The pyramidal training model was extended to multiple family members of children with behavior disorders. Three primary caregivers were taught to implement individualized treatments for problem behavior. They were then taught how to use various instructional strategies (e.g., prompting, feedback) to teach 2 other family members to implement the treatment. Results showed that pyramidal training was effective in increasing caregiver implementation of treatments across three families.